The Women’s Health Podcast

In this episode, we talk to Nina Theodorsen, a Norwegian women's health and pelvic floor physiotherapist, who works in a private clinic and is doing a PhD at University of Bergen. Nina has done extensive research on the effect of exercises on DRA during pregnancy and the postpartum period. Her long clinical experience affects her approach to research and dissemination of the results. She also holds a degree in health management and further education in sexual health and education, teaches women's health on the bachelor physiotherapy program, holds courses and talks, and tries to influence politicians to prioritize and improve women's health Nina begins the episode by discussing her background working with women around the perinatal period and how her clinical observations led to her desire to perform more research on the effect of exercise on DRA. She felt that there was a lot of messaging that was fear-based and could potentially reduce participation in exercise. With Kari Bø and others in the team at University of Bergen, Nina has published research studies on the effect of pelvic floor and transversus abdominis contraction on the inter-recti distance in both pregnancy and post-partum populations. She also conducted a randomised controlled trial (during covid lockdowns!!) on the effect of a 12-week full body strengthening program (including abdominal exercises) during pregnancy on the inter-recti distance at late stage pregnancy and at 6 weeks post-partum. You can access her research articles here: https://doi.org/10.1016/j.jphys.2024.02.002 https://doi.org/10.1016/j.physio.2023.08.001 https://doi.org/10.1016/j.physio.2018.08.009 Nina is happy for people to get in touch with her with any questions or comments. We thoroughly enjoyed this interview with Nina and hope you do too! Please feel free to leave a comment below about your thoughts on the topic! nina-margrethe.theodorsen@uib.no @diastaseprosjektet

Yes it has been over 2 years since our last episode, but we’re back and full of excitement about the guests to come! And what a great episode to kick off the re-boot. On this podcast we interview Dr Tracy Sher about all things related to Pudendal Neuralgia. Dr Sher is the Founder/CEO of the global platform, Pelvic Guru, LLC/Pelvic Global and the Global Pelvic Health Alliance Membership (GPHAM). She is also the Owner/Clinical Director of the private practice, Sher Pelvic Health and Healing in Orlando, Florida. In this podcast we cover: Correction: Tracy wanted to add after the conversation: “Numbness can end up being part of pudendal nerve entrapment. The Nantes criteria actually lists: “no objective sensory defects” but those who treat this clinically will see sensory changes. This was the original Nantes criteria - but we see many more nuances to this: pain limited to the territory of innervation of the pudendal nerve, pain predominant during sitting, pain does not awaken the patient from sleep, no objective sensory defects, a positive effect of anaesthetic infiltration of the pudendal nerve.The key is to do all differentials as it isn't a typical symptom. I also stated S1-3 in the beginning and meant to say S2,3,4.” As always, we felt like we could have picked Tracy’s brains for hours, so might have to get her to come back again in the future (or encourage her to come to Australia!). You can reach Tracy at: Website: www.pelvicglobal.com Email: Tracy@pelvicguru.com Instagram: @pelvicguru1 Twitter: pelvicguru1 Free Facebook Group: Pelvic Guru Academy

And...we're back! After a two-year hiatus, we've decided to kick off the Women's Health Podcast again. We're excited to interview some incredible guests on the show in the months to come and would love to hear your suggestions! In this chat, we discuss what we've been up to over the past two years (and all the places Antony has been to!). We have a bit of a chat about principles rather than protocols when treating pelvic health conditions and the importance of personal experience as a motivator for change. We also talk about collaboration between health and fitness professionals and how this can benefit women. It's a bit of a random chat, but hopefully you enjoy it! We'll see you soon with our first guest for 2023.

Today we have the pleasure of speaking to Kieran Richardson. Kieran is a Specialist Physiotherapist and the Director of Global Specialist Physiotherapy, a consultancy company providing Professional Development, Formal Mentoring and Non-surgical opinions for patients. Kieran and his team of academics, expert clinicians and researchers consult to multiple clinics and health care professionals in Perth, Western Australia, and well as nationally and internationally via online platforms such as Zoom. He also has various online courses for both clinicians and patients, specifically covering non-surgical management of ACL tears. He also has successfully overseen 100's of full thickness ACL tears of patients both in Australia and internationally via the Telehealth method. Today we talked about: - Kieran's career journey - from considering a life as an accountant, doctor or lawyer to choosing to be a physiotherapist - how the specialisation process helped - in particular the mentoring/peer review - how applying evidence-based practice can be a tricky balance - how ACL management is VERY surgical focussed in Australia and how this has been very slow to change in spite of the current research - how healthcare is very medically dominant - we (physiotherapists) would need to be a combined force to have a strong say - the evidence for and against manual therapy - are we throwing the baby out with the bathwater? - communicating with colleagues online. Could we do better? - the business of healthcare and how profits can impact on management. - ACL pathways. What is considered best management? How is ACL surgery/rehab funded in Australia? - whether or not physiotherapists could play a bigger role in musculoskeletal pain in primary health care settings to help reduce medical burden - why important intra- and interdisciplinary collaboration is so important - his top tips for new graduate physiotherapists You can find Kieran at: kieran@globalspecialistphysio.com https://www.instagram.com/global_specialist_physio/ https://www.facebook.com/globalspecialistphysio Check out his references at: www.globalspecialistphysio.com/acl

We're excited that today we have a dynamic duo on the podcast: Dr Andrea Bruder and Dr Adam Culvenor. Adam is a Physiotherapist and Research Fellow at the La Trobe University Sport and Exercise Medicine Research Centre, Australia. He has combined a clinical career in sports medicine together with research investigating prevention, management and long-term outcomes of sports-related injuries, and life-span osteoarthritis. He has a particular interest in anterior cruciate ligament (ACL) injuries; in optimising return to sport, identifying risk factors for poor long-term outcomes, and developing and testing novel osteoarthritis prevention strategies. Adam has written more than 50 publications on the subject of ACL injuries and osteoarthritis, has been invited to speak at numerous international conferences, and is\ currently leading the first clinical trial in the prevention of osteoarthritis in young adults following ACL injury. Andrea is a physiotherapist, Lecturer in Physiotherapy at La Trobe University and Post Doctoral Research Fellow in the La Trobe Sport and Exercise Medicine Research Centre. Her research focuses on improving injury prevention and rehabilitation practices after musculoskeletal injuries. Andrea has a particular interest in reducing the risk of ACL injuries among women and girls playing Australian football, and for those who do sustain an ACL injury, how we can improve rehabilitation practices to reduce the long-term burden. In this podcast we talked about: - what the ACL is and how it can be injured - some risk factors for ACL injury (in males and females)- including some of the social, environmental factors - some of the current programs that exist that have been shown to reduce lower limb injuries...but how the uptake has been poor - surgical versus non surgical (sexy, cutting-edge rehab) management - why a trial period of this kind of rehabilitation may be of benefit, even if the client goes on to have surgery further down the track - how the rates of arthritis are similar between the two treatment options If you'd like to check out their blog, head to http://semrc.blogs.latrobe.edu.au/blog Their website details: https://scholars.latrobe.edu.au/display/abruder https://scholars.latrobe.edu.au/display/a2culvenor Email addresses: a.bruder@latrobe.edu.au a.culvenor@latrobe.edu.au aclstudy@latrobe.edu.au Twitter: @AndreaBruder Twitter: @agculvenor

We are again blessed to have the amazing Molly Galbraith on the podcast! Marika and Antony have both had the pleasure of getting to know Molly over the past 5 years and are thrilled to talk to her about her new book, Strong Women Lift Each Other Up. Molly Galbraith, CSCS, is the cofounder of Girls Gone Strong (GGS), the world’s largest platform providing evidence-based, interdisciplinary health, fitness, nutrition, and pregnancy education for women and the health and fitness professionals who work with them—including industry-leading certification programs and coaching. The “Strong Women Lift Each Other Up” philosophy is woven through the fabric of GGS, as Molly leads a team of women from the US, Canada, UK, Mexico, India, and Australia. From employing and educating, to featuring, collaborating with, and investing in women, GGS is dedicated to serving their community of women from 80+ countries around the world. In the podcast we talked about soooo much great stuff, including: - how this book came about and how women lifting each other up has helped Molly get to where she is today - some of the statistics around representation of women in government and executive positions... and ways that we can help change this. - why making the biggest difference with the least amount of harm is her highest value - why the book is structured the way it is - to help the reader move through the stages of working on their own care first (eg on jealousy and the comparison trap) in order to feel able to truly support other women - why understanding your values truly helps you a more fulfilling life and be true to yourself - how helping lift other women up can be small, simple things such as a compliment or a recommendation - how you can find your superpower and level up your support of other women! We love Molly's book and would love everyone to get out and buy it and tell us what you think (no, we are not making commission!!). The book is not only filled with fabulous advice, interesting stories and reflective questions, but also a ton of online resources. You can buy her book at https://www.mollygalbraith.com/book2 Check out Episodes 12, 24, 35 and 36 which also stars Molly! http://www.womenshealthpodcast.com/uncategorized/012-molly-galbraith-feeling-fragile-uncomfortable-and-lack-confidence-in-your-post-baby-body/ http://www.womenshealthpodcast.com/uncategorized/024-molly-galbraith-how-can-i-heal-my-relationship-with-my-body/ http://www.womenshealthpodcast.com/uncategorized/035-molly-galbraith-ask-me-anything-part-1/ http://www.womenshealthpodcast.com/uncategorized/036-molly-galbraith-ask-me-anything-part-2/

A quick chat between Marika and Antony just catching up. Antony's courses can be found at www.mypteducation.com The Peak Simplicity Masterclass - www.physiodetective.com/masterclass

FIFTIETH EPISODE SPECIAL!! Antony and I were thrilled to talk to Clare Minahan, PhD Scientist and champion for women in sport. Clare Minahan is an Associate Professor at Griffith University, Queensland Australia, and has led the Griffith Sports Science group since 2002. Clare’s interests are in the advancement of human performance with a key focus on the determinants of performance in female athletes. She has documented unique responses to exercise in female athletes including muscle damage, thermoregulation and immune function. Clare is a founding member of the Australian Institute of Sport’s Female Performance and Health Initiative. Some of the topics we cover in this episode include: If you would like to get in touch with Clare, you can best contact her on twitter @clareMINAHAN or via the Griffin University website c.minahan@griffith.edu.au

On this podcast, we chat to Amanda Thebe, fitness professional and author of the book Menopocalypse: How I Learned to Thrive During Menopause and How You Can Too! Amanda has over twenty years of experience in the fitness industry. She is a popular guest on podcasts and online summits, and her health and fitness tips have been featured in media outlets like Shape, Prevention, Healthline, and Global News. She lives in Houston, Texas. In this episode we talked about: Resources Menopocalypse book! (BUY HERE: https://www.fitnchips.com/books/) Oestrogen matters - Dr Blooming and Dr Tavris XX Brain book - Dr Lisa Mosconi www.viacharacter.org www.valuescentre.com You can find Amanda at fitnchips.com amanda@fitnchips.com

In this episode we have a fantastic conversation with Dr Julie Granger all about adolescent health and well being. You may remember Julie from our previous episode (#20 "Do you have a hormonal teenager?") Julie educates and mentors physical therapists and health professionals to eliminate the awkwardness that comes with helping teens — to instead confidently and expertly guide them and their families toward healthy lives in adolescence and adulthood. She also helps entrepreneurial physical therapists and health professionals who are feeling stuck, confused, or overwhelmed about how to start or grow a practice to tap into their intuition and discover a personalized life and business plan that’s both inspiring and reflects what they truly love in life. In this podcast, we talk about - how teens often slip through the cracks as they don't fit into either the adult or paediatric models of care - how some teenage boys can bottle up their emotions and minimise their injuries - and how we can open up dialogue with them - the importance of allowing children to experience the consequences of their decisions in the process of transitioning to independent adults - why some injuries and pains are more common at different age points (think: bony changes) - why it is essential for health professionals working with teens to know the growth charts and to have good links with radiologists that understand growth plates - some tips for communicating with parents of teens - how to help navigate the rehabilitation timeline with teens (when a week feels like a year!) - how to set up your working environment to make it more "teen friendly" You can learn more about Dr Granger here: Facebook: @drjuliegranger Instagram: @drjuliegranger Twitter: @drjuliegranger If you would like to join her FB group and learn more about working with this population head to https://www.facebook.com/groups/healthproshealthyteens And for those who want to deep dive and become the go-to expert in working with teens, then definitely check out her online course (commencing November 16th): http://bit.ly/healthprosforhealthyteens (using this code will help support our podcast by giving us a small commission).

In this episode, we finally manage to grab Dr Jo Milios back on the podcast. We spoke to Jo for over an hour this time last year...and sadly the technology let us down. Yes...it all got wiped. So thankfully Jo does not hate us and she kindly agreed to come back on the podcast! Dr Jo Milios is a physiotherapist based in Perth, Western Australia. She is passionate about helping men with urinary incontinence, Peyronie's disease and pelvic pain. Here are some of the topics that we discussed in the podcast - Jo's journey in physiotherapy and how she came to be working in men's health through a connection with her brother who is a urologist - how Jo became so passionate in helping men after radical prostatectomy (RP) regain their continence and sexual function, culminating in her completing her PhD in 2019. - the story of how she learnt about Peyronie's Disease through the experience of a young client and wanted to be able to help him. This led to her reaching out to international colleagues and trying therapeutic ultrasound to great effect - Jo then added yet another project to her PhD, demonstrating the efficacy of ultrasound on Peyronie's disease -she discusses the physiological changes that occur during prostate surgery and why there are changes in continence and sexual function. - how penile length changes can occur after surgery and some of the things that can be done to help maintain length - hard-flaccid syndrome - how some young men are suffering from too much vigorous self stimulation while watching porn. Can lead to hypersensitivity, pain, Peyronie's disease, depression/ anxiety etc - how it can take 2 years for the nerves to recover after RP, so during that time we want to maintain length and function but take the pressure away from sexual function. Only 22% of men regain sexual function after two years and in men over 60 - only 4% will regain sexual function if don't do penile rehabilitation - ultrasound treatment for Peyronie's disease - how she performed her research study and some of the amazing results found. We may need to pull these machines out of the cupboard and dust them off! - why it's important for men to check their penis regularly (eg in the shower) and feel for any changes such as lumps and bumps. - the importance of screening for erectile dysfunction (think: cardiovascular disease), urinary /bowel function and pelvic pain. We as health and fitness professionals need to be more proactive in this! - the importance of screening the spine in clients with urinary symptoms and how treatment of the spine (eg through manual therapy and/or exercise) could help relieve symptoms esp in those who seem to have good PFM function You can learn more from Jo by listening to her podcast with Melissa Hadley-Barrett - https://thepenisproject.org/ https://thepenisproject.podbean.com/ In that podcast, Jo and Melissa talk to everyday men about their experiences post RP. You can also find Jo here: www.menshealthphysiotherapy.com.au jo@completephysiotherapy.com.au

****Apologies - this episode was released quickly on social media but Antony forgot to release it here. Enjoy!**** This is just a super quick episode to give you the heads up about Birth Trauma Awareness Week (6th-12th September 2020). You can help by: - donating money or buying a t-shirt - raising money while doing a 5km walk - sharing your story - signing the petition to help women around Australia get access to postnatal pelvic health physiotherapy care Please see the links below for more information about how you can support this valuable cause. https://www.redbubble.com/i/t-shirt/The-ABTA-Start-the-Conversation-White-by-TheABTA/54578433.YIZYC?asc=u https://www.birthtrauma.org.au/birth-trauma-awareness-week/ https://www.birthtrauma.org.au/change-org-campaign/ https://www.sbs.com.au/news/insight/prolapse-muscle-tears-and-trauma-why-women-need-better-support-post-birth?fbclid=IwAR10w6TxIMPN4hIRs9h_ZH3J0xeBQzYKX97t6T1fRLPdOgvRIrD3FYDPoFA

In this interview, we talk to Dr Jane Foster, educator and creator of MYTERN - a program designed to help people change their language around emotion and regain control! TERN = Take Emotional Responsibility Now. As an educator, she was concerned about the false narratives that were, and still are, embedded in our culture, disrupting people's lives and even ending them. She wanted to create a simple, every day language that could be used by everyone to build new positive narratives, eradicating stigma and judgement, enabling people to regain control of their mental and emotional state. A language that could replace blame, judgement and retaliation with empathy, compassion and responsibility. The culture of having to be happy and positive all the time is unrealistic and almost impossible to maintain - especially now. In this interview, Dr Foster talks about - her PhD project where she sent one text message per day to university students over a ten week period. She had astonishingly positive results in the test group, including increased psychological well-being, life satisfaction and purpose. They also had decreased psychological distress levels and there were several students who said that the program prevented them from committing suicide. - how MYTERN can be used in schools, homes and occupational settings. - how the program revolves around metaphors such as roads- you can be on a red (rough road) or a green (smooth road) in terms of your emotions. They are not necessarily "bad" and "good" roads- and we don't want aim for always being on those smooth roads. The red roads can help us with our resilience, as we will always come up against challenges in life. The idea is to be in control - whether we are on the red or the smooth roads. - how you can be out of control on red OR green roads. You can be on a green road and out of control - eg taking alcohol / drugs. You can also be in control on a red road - eg angry but responding in a calm way. - how being out of control in MYTERN means that you are hurting yourself, hurting someone else or hurting something else. - how the language can be simplified to - "are you on a red or green road? Are you in or out of control?" - how the analogy of the steering wheel works - YOU are in control of the car (your emotions) and how you respond. Other people can not make you feel a certain way. "YOU made me feel this way" is giving the other person all the power. and making yourself a victim. - MYTERN teaches you how to empty your glass - how little stresses build up over time and fill our glass. Minor stresses can help build health and resilience. - how people of different ages can use the MYTERN model - from young children and adolescents to adults (even corporations) - how sign language can be used to indicate when you're feeling out of control (extending the fingers, flexing the thumb across the palm) - the acronyms of PETs and TEPs. - PETs are Personal Emotional Tools that help us regain control esp when we are on red roads. A PET could be going for a walk, taking some deep breaths, patting a pet, reading a book, cooking a nice meal, dancing etc. Adults will often choose alcohol, exercise or eating chocolate - which are fine in moderation, but in excess can become a TEP. - TEPs are Triggers for Extra Precaution - ie the events/situations that cause someone to feel out of control. For example - parents are fighting, losing a computer game, bad drivers, feeling unwell or going to school/ work. Calling it a "TEP' rather than a "trigger" means that there is no judgement. It's a made up word so that there is no connotation associated with it. Understanding your own TEPs (and what PETs can help in that particular situation) gives you skills to help bring yourself back into control. - how these tools can help lay down new neural pathways and some of the changes that Jane has seen over time within groups using the MYTERN model. - the different packages available on the MYTERN website - eg...

Wow, this episode is a doozy! We think EVERYONE should listen to this episode, whether you are a medical /fitness professional or general public....this information is so important. After 23 years of misdiagnosis, Sallie embraced her struggles with endometriosis to forge a new pathway for all who suffer from the disease and its associated conditions. She is a practicing pelvic physical therapist specialising in endometriosis and subsequently occult hernia who has gone on to found The Endometriosis Summit - the largest patient and practitioner gathering for endometriosis in the United States with Dr Andrea Vidali and is a driving force behind iCareBetter, a new endometriosis education portal and video vetting system for endometriosis excisionists in North and South America. Sallie is currently weathering the USA's Covid life with her two poodles, and parents while doing telehealth to the endometriosis world. In this interview we discuss: - what endometriosis is and how common it is (one in ten women!!). - how those lesions make their own oestrogen (and progesterone) and nerve/blood supply. - why hysterectomies don't cure endometriosis - the history of diagnosis of endometriosis and some of the theories that have existed over time - how in endometriosis, the tissue can extend as far as the lungs and pericardium. The only organ in the body that hasn't been shown to have endo is the spleen! - how birth control can modulate the period but not the disease - how you can get endo in the skin - typically iatrogenic such as being dragged by a surgical scalpel - how diagnosis is made. Typically imaging is not helpful. Gold standard = laparoscopy. - Staging of the disease is not well correlated with pain experienced - the common symptoms associated with endo - including cramps, painful periods, IBS-like symptoms, pain with deep penetration, back pain, leg pain, tailbone pain, rib pain, leaking for no reason, increased urinary frequency, issues with fertility, nose bleeds with periods, neck pain and reflux, symptoms at ovulation (bowel problems worse with periods and ovulation) - how girls/women are often taught to be warriors and put up with pain. The message is often that period pain is normal and needs to be put up with. - some of the changes that are happening around the world to educate high school girls about periods (see resources below) - that symptoms may be there early in life such as inflammatory issues in the gut, but not diagnosed until older age when having fertility issues. - how early menstruation is associated with higher risk of endometriosis - teens don't always need to rush in for surgery. Birth control can modulate symptoms in some people. It does not treat the disease. - some of the conversations to be had around providing contraceptive pills in children. - how endometriosis itself can impact ovarian reserve - the receptor site sensitivity for progesterone can be down-regulated in some women with endo. Some docs will throw more progesterone into the system, which may not do anything. So different pills need to be considered - how the type of surgery is important - ablation just burns off the top, you need excision surgery to remove the roots - the current limitations in the medical system - in terms of education of doctors and gynaecologists. - how health and fitness professionals can help women with endo - by being aware of the different symptoms that can be related to endo and screen further. How exercise can help improve mobility around the scar. Try and meet your clients where they are at and tap into the activities that they enjoy. - some of the questions that you can ask if you suspect a client has endometriosis - how every woman deserves treatment and some of the gaslighting that still goes on within the medical system - how as physiotherapists we can support our clients with endometriosis - through connecting with our clients and teaching them that they will need to advocate for themselves. Educate re:...

In this interview, we talk to Inemesit Graham, fitness professional (and all-round incredible woman!) based in Yellowknife, Canada. This was a fantastic conversation that touched on so many topics, including: - her experiences moving to the UK from Nigeria and growing up in a predominantly white neighbourhood - her journey as a child having surgery for abdominal hernia and the trauma associated with that experience - how after her second child she struggled with body image issues related to her abdominal profile. She thought she was overweight and went on a weight loss journey and eventually discovered that she had diastasis recti. - her experience living with DRA and hernia and how she felt strengthening her body and learning to love it as it is was so important -how she started posting her workouts online and was told she was being negligent so she went and did qualifications to be certified as a fitness professional - how her whole life she has lived outside of other people's expectations. As a Nigerian it was expected that she study law or medicine, but she studied politics indeed and moved to Canada. - how she rarely sees people who look like her - at school, in magazines, in Canada. There was a period of time where she didn't want to be black, so she actively sought out black people to follow and listen to so that she could learn to love who she is. - covert versus overt racism and how important black representation is in the health and fitness industries as well as in tv/magazines. - how important it is to expose ourselves to different voices - how we need to be intentional in cultivating our social media feeds, so that we aren't just hearing one voice. - the importance of the Black Lives Matter movement. We have one world view and we have to listen to other people's life experiences. Ours is not the only story out there. Some people may not see racism but that does not mean it doesn't exist. How acknowledgement of other people's experience takes nothing from us, but could make the world of difference to that person. - her thoughts on the phrase "I don't see colour." She discussed how difficult it is to find makeup that suits her skin tone or to see women like her in advertisements. "When you don't see colour, people of colour become invisible in your society." - how #alllivesmatter is often posted out as a retort to #blacklivesmatter and that acknowledging that black people are 2.5x more likely to be killed by police is important. It diminishes the plight of black people to post this hashtag in a reactionary way. If you want to learn more about Inemesit or work with her, you can find her Email: mummyfitness@live.com Facebook: www.Facebook.com/MummyFitness Twitter: www.twitter.com/inemesitg Instagram: www.instagram.com/mummy_fitness

In this interview we talk to Amy Dawes, founder of the Australasian Birth Trauma Association (ABTA). ABTA is a national charity committed to reducing the instance and impact of birth-related trauma whilst supporting affected women, families and health professionals. Amy discussed: - her birth experience and diagnosis of pelvic organ prolapse 16 months later. She talked about how this diagnosis affected her psychologically and impacted on her quality of life. She became scared of doing any movement or exercise and felt that she would make things worse. - how, with some assistance of a pelvic health physiotherapist and connecting with other women who had returned to exercise after prolapse diagnosis, Amy started to feel more confident in her body - how she connected with Elizabeth Skinner, psychologist, who mentioned the need for a birth trauma association here in Australia...and how the ABTA was formed (and a special shoutout to Christine Percy and Christine Pistone!). - the goals of the ABTA and how they support women through Peer to Peer mentoring. - that birth trauma can be physical, psychological or both. - the need for more comprehensive antenatal education, so women are aware of the potential risks associated with birth, without scaring the heck out of them. "Why didn't anyone tell me that this could happen?" - the fact that health care providers can also suffer trauma associated with supporting women in birth and that they don't always receive the help that they need. - how important it is to have care in birth that is supportive, nurturing and empowering. - how birth can trigger past trauma, which women may need psychological help for - how we can help support the ABTA and spread the word of these services to the community The ABTA relies on donations, so if you would like to help please reach out to the ABTA via the links below. Please share this information with anyone who you think might benefit! Website: https://www.birthtrauma.org.au/ Email: amy@birthtrauma.org.au Facebook: https://www.facebook.com/birthtrauma.org.au/ Twitter: @AusBirthTrauma

In this episode we talk to Vicki Webber - CrossFit Competitor and Box owner. Vicki shares with us - how she fell in love with CrossFit and went from being someone who never really did much lifting to being an international competitor - her pregnancy and birth experiences... and how different number four has been in comparison to the first three! - her recent postnatal experience including difficulties with bladder control and heaviness in the perineum - her experiences returning to CrossFit in the postnatal period - how she has found that changing the way that she moves (with guidance from her physiotherapist) has helped her symptoms of heaviness in the perineum. - her experience as a coach of the changes in post pregnancy information that is provided to pregnant and postnatal women - how her coaching has changed since having recent symptoms of pelvic floor dysfunction We hope to chat to Vicko again in the future to see how she is getting on in her journey. You can learn more about Vicki here: https://www.steelcoastcrossfit.com/ https://www.facebook.com/vicki.webber.75 https://www.instagram.com/vwebbs2011 vickwebbs@gmail.com

In this interview, Marika and Antony talk to Professor Peter O'Sullivan. Peter is a clinical researcher at Curtin University and specialist physiotherapist at Bodylogic Physiotherapy, Perth WA. With his team, he has published over 250 peer review articles on MSK pain and its management, His passion is empowering people disabled with pain to get back to living again. In this interview, we discuss - how COVID-19 is resulting in more anxiety and how this is showing up in clinics - helping people in pain via Telehealth - Pete's journey as a physiotherapist and in particular his thoughts around pain and how they have evolved over the years. (He even goes back to his experiences as a child and how family shaped his responses to pain). He talks about how frustrated he was with the biomechanical model of pain in his early years and how his personality as a rule breaker probably helped him to think outside the box and develop new ideas (alongside his colleagues). - things that you can do in order to keep growing professionally and how to create positive clinical environments - the pros and cons of doing patient demonstrations in front of live audiences - the Biopsychosocial Model - how the "Bio" is really important and not to be ignored. We also discussed where manual therapy and touch can fit into it (and when it is maybe not appropriate!). - Cognitive Functional Therapy (CFT) - the model that Pete and others created and how it is not about "talking to people" and a lot is based on building relationships and trust, as well as performing behavioural experiments. - minimum requirements for physiotherapists in order to implement CFT - incl a discussion on how for some people learning CFT is relatively easy whereas for others it takes a long time or it's just not a good fit. - bottom line - patient-centred care is where we should start. All models will be criticised/critiqued and will evolve over time, but if we put the person in the middle of their journey (and put our egos aside), we'll be doing a decent job of it. You can learn more about Pete at https://bodylogic.physio/ posullivan@bodylogic.physio

Ok, so this podcast is slightly different to our usual! In this episode we talk about neurodiversity...and in particular, Antony discusses his personal experience living with ADHD. We reiterate that we (Marika and Antony) are NOT neurologists, psychologists, psychiatrists etc - and we are definitely NOT experts in ADHD or other neurodevelopmental disorders. We just wanted to have a chat about - some of the difficulties associated with living with ADHD - in particular organisation/planning, staying focussed and getting tasks finished - how difficult social situations can be and the nuances that are often missed - how online forums can be particularly challenging (esp for those who are literal (black/white) thinkers - how medication has helped Antony (when he remembers to take it!) We hope that this generates a bit of conversation around neurodiversity - how thinking differently comes with challenges but how it can also result in incredible creativity! We need people that can think outside the box and support those who struggle with fitting into our neurotypical-biased community. Additional: In this episode, we start out by discussing Antony's upcoming mentoring program. To join, please head to: www.physiodetective.com/masterclass Marika also discussed her online postnatal and pelvic "up and go" classes. If you would like to learn more, head to bodylogic.physio or email marika@dynamicstrengthphysio.com.au. These classes can be attended by anyone living in Australia.

In this interview with Heather Edwards, Antony and Marika learn a lot about gender, sex, sexuality, BDSM and more! Heather has been a pelvic physical therapist since 2003 and is one of only a few AASECT (American Association of Sex Educators, Counselors, and Therapists) certified sex counselors in the world. As an artist, she has a line of coloring books the blend gender-inclusive genital anatomy with fun and approachable designs. As a producer and host, she created a sex-ed-in-a-bar event series, Vino & Vulvas, in 2015. In this episode, Heather tells us about her journey in pelvic health and how she fell into it when no one else wanted to! Along the way, Heather discovered an interest in sexuality and wanted to learn more about this topic, so she went on to do further studies. Some of the questions that we asked Heather were: - What does LGBTQIA stand for? - What is the difference between sex and gender? - As a health or fitness professional, how can we support people of all genders and orientations in our clinics? How important is the environment and our language? (NB Heather recommended the podcast Decolonising Fitness) - Where can health and fitness professionals learn more about supporting LGBTQIA clients? - When doing a subjective assessment, how do we create a safe space so that our clients feel comfortable sharing information? - What does BDSM stand for and how can knowledge of this area help in working with clients with pelvic pain? - When people talk of penetrative sex as being the goal, how can we introduce other aspects of sensuality into their rehabilitation program? - Are there any particular things you’d like pelvic health physiotherapists to know about gender reaffirmation surgery? Please go to the website www.womenshealthpodcast.com to download the coloring pages. You can find Heather: http://www.heatheredwardscreations.com vinoandvulvas@gmail.com https://pelvicguru.com/event/trans-inclusive-trauma-informed-kink-aware-care-optimizing-sexual-wellness-in-atlanta-ga/